NPI | 1801934823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR c1728) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C1728) |
106H00000X Marriage & Family Therapist (Licence: CA mfc41240) | |
Enumeration Date | 2007-02-02 |
Last Update Date | 2008-05-07 |