NPI | 1871709337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: AL 1401) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL 69) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2007-07-08 |