NPI | 1508148529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL IMT1610) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH9312) |
Enumeration Date | 2011-09-15 |
Last Update Date | 2011-09-15 |