NPI | 1629001839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC LMFT000035) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 4091) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2008-06-13 |