NPI | 1588755284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 00022) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IA 00164) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2007-07-08 |