NPI | 1841319167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 1361) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 894) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2007-07-08 |