NPI | 1558766444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2417) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 805) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2014-11-04 |