NPI | 1437137205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1113) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 5596) |
101YP2500X Counselor, Professional (Licence: PA PC003649) | |
106H00000X Marriage & Family Therapist (Licence: PA MF00435) | |
Enumeration Date | 2006-01-03 |
Last Update Date | 2024-03-29 |