NPI | 1548297336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1248) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 5389) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2011-10-14 |