NPI | 1528278397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 602) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 1890) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2013-08-16 |