NPI | 1669896999 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 1829) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2014-02-06 |
Last Update Date | 2016-07-19 |