NPI | 1366802795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4193) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C4193) |
106H00000X Marriage & Family Therapist (Licence: OR C4193) | |
Enumeration Date | 2016-02-26 |
Last Update Date | 2016-07-05 |