NPI | 1811218027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000922A) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001142A) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2010-06-22 |