NPI | 1699842542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 65952) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM 66232) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2007-07-08 |