NPI | 1588049654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH13630) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT 2306) |
Enumeration Date | 2015-07-29 |
Last Update Date | 2015-07-29 |