NPI | 1326194366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 8219) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 47611) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2007-07-08 |