NPI | 1558538439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 1509) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MA 1509) |
101YP2500X Counselor, Professional (Licence: MA 1509) | |
101YS0200X Counselor, School (Licence: MA 1509) | |
106H00000X Marriage & Family Therapist (Licence: MA 1509) | |
174400000X Specialist | |
Enumeration Date | 2008-05-10 |
Last Update Date | 2008-05-10 |