NPI | 1861530693 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MA 4490) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 1917) |
106H00000X Marriage & Family Therapist (Licence: MA 996) | |
Enumeration Date | 2007-02-02 |
Last Update Date | 2011-09-24 |