NPI | 1447651815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LAMFT-4369) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-4231) |
Enumeration Date | 2014-09-04 |
Last Update Date | 2014-09-04 |