NPI | 1891719944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 2120) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 14015) |
106H00000X Marriage & Family Therapist (Licence: LA 975) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2012-09-20 |