NPI | 1689730731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 1684) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 636) |
Enumeration Date | 2006-12-30 |
Last Update Date | 2007-07-08 |