NPI | 1699865410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 756) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA 2811) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2014-08-19 |