NPI | 1770552010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 1881) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 115) |
Enumeration Date | 2006-03-17 |
Last Update Date | 2012-07-26 |