NPI | 1861790768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC2826) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LCM363) |
Enumeration Date | 2011-03-02 |
Last Update Date | 2011-03-02 |