NPI | 1669837126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: LA 5317) |
106H00000X Marriage & Family Therapist (Licence: LA 1206) | |
Enumeration Date | 2015-12-28 |
Last Update Date | 2020-01-06 |