NPI | 1790002699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC LMFT000109) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: NJ LCPC064-3684) |
Enumeration Date | 2010-05-01 |
Last Update Date | 2016-08-02 |