NPI | 1336237874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC1099) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC1099) |
106H00000X Marriage & Family Therapist (Licence: MD LC1099) | |
Enumeration Date | 2006-10-10 |
Last Update Date | 2007-07-08 |