NPI | 1528075496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MT 868) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 868) |
106H00000X Marriage & Family Therapist (Licence: MT 868) | |
Enumeration Date | 2006-08-02 |
Last Update Date | 2007-07-08 |