NPI | 1376878116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11191) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT1339) |
Enumeration Date | 2009-10-13 |
Last Update Date | 2013-09-23 |