NPI | 1801037064 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2518) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10206) |
Enumeration Date | 2009-03-18 |
Last Update Date | 2018-10-17 |