NPI | 1336429935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC C007328) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC C007328) |
1041C0700X Social Worker, Clinical (Licence: NC C007328) | |
106H00000X Marriage & Family Therapist (Licence: NC C007328) | |
Enumeration Date | 2011-08-26 |
Last Update Date | 2020-06-15 |