NPI | 1528517950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 423 LMFT) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC S2299) |
Enumeration Date | 2016-09-27 |
Last Update Date | 2016-09-27 |