NPI | 1659549798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1204) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 5645) |
Enumeration Date | 2008-02-12 |
Last Update Date | 2008-02-12 |