NPI | 1891131835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4384) |
Additional Taxonomies | 101YS0200X Counselor, School |
106H00000X Marriage & Family Therapist (Licence: LA 2914) | |
Enumeration Date | 2013-05-16 |
Last Update Date | 2015-12-01 |