NPI | 1356502165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MS 0799) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS T0220) |
Enumeration Date | 2008-06-24 |
Last Update Date | 2008-06-24 |