NPI | 1902263023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401013701) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401013701) |
106H00000X Marriage & Family Therapist (Licence: MI 6401013701) | |
Enumeration Date | 2016-01-20 |
Last Update Date | 2016-01-20 |