NPI | 1588713416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 6292) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 1132) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2007-09-26 |