NPI | 1487674222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 80) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AK 166) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2007-07-09 |