NPI | 1760419972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 1832) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 20) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2007-07-08 |