NPI | 1760473979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P8203010) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR m9710019) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2007-07-08 |