NPI | 1649410747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 1124) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA RN027054) |
Enumeration Date | 2009-03-02 |
Last Update Date | 2009-03-02 |