NPI | 1851714158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 8093A) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A9425) |
Enumeration Date | 2014-01-23 |
Last Update Date | 2014-01-23 |