NPI | 1366693780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 000306) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 000306) |
Enumeration Date | 2008-10-03 |
Last Update Date | 2011-06-01 |