NPI | 1497834378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701002704) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000801) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2013-09-05 |