NPI | 1598748550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5508) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 5508) |
106H00000X Marriage & Family Therapist (Licence: MA 5508) | |
Enumeration Date | 2005-11-23 |
Last Update Date | 2007-07-08 |