NPI | 1487942348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 10657) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MT 140) |
Enumeration Date | 2011-07-13 |
Last Update Date | 2015-02-06 |