NPI | 1518009018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH0002200) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT0001425) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-07-08 |