NPI | 1548436843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3194) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 1028) |
Enumeration Date | 2008-05-06 |
Last Update Date | 2011-10-16 |