NPI | 1770012635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL 2731) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 16048) |
Enumeration Date | 2017-06-05 |
Last Update Date | 2017-06-05 |