NPI | 1356498273 |
---|---|
Former Name | ROBIN LEE KHOURY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 2382) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 76) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2012-11-26 |