NPI | 1356739692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A10789) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A10789) |
106H00000X Marriage & Family Therapist (Licence: NC A10789) | |
Enumeration Date | 2015-01-08 |
Last Update Date | 2015-02-03 |