NPI | 1386653723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P0310040) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M0411003) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2012-10-23 |