NPI | 1467482851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: LA 2770) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 543) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2007-07-08 |