NPI | 1881796597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 873) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA 321) |
Enumeration Date | 2006-09-02 |
Last Update Date | 2007-07-08 |