NPI | 1417390055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2227) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8245) |
Enumeration Date | 2013-04-13 |
Last Update Date | 2013-04-13 |