NPI | 1861401770 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 569) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 2260) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2018-09-19 |