NPI | 1467693853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10137) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2438) |
Enumeration Date | 2009-03-13 |
Last Update Date | 2022-09-27 |