NPI | 1881606788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 60) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 330) |
Enumeration Date | 2006-08-12 |
Last Update Date | 2008-05-20 |