NPI | 1528142817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P0601001) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M0601001) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2008-12-14 |