NPI | 1679777866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: NC CPC129413) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL CPY02400011000) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2007-06-12 |
Last Update Date | 2007-07-08 |