NPI | 1811175961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 983) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 205) |
Enumeration Date | 2008-01-31 |
Last Update Date | 2008-01-31 |