NPI | 1326497264 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A11939) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 11039A) |
Enumeration Date | 2016-06-10 |
Last Update Date | 2016-06-10 |