NPI | 1700221546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2984) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 892) |
101Y00000X Counselor (Licence: LA 76280) | |
Enumeration Date | 2013-05-07 |
Last Update Date | 2020-06-09 |