NPI | 1821468075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2728) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 751) |
Enumeration Date | 2015-09-30 |
Last Update Date | 2015-09-30 |