NPI | 1306176722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1510114) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 987) |
106H00000X Marriage & Family Therapist (Licence: AR M1510008) | |
Enumeration Date | 2010-01-07 |
Last Update Date | 2015-10-27 |