NPI | 1922132588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: LA 174) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 174) |
106H00000X Marriage & Family Therapist (Licence: LA 270) | |
Enumeration Date | 2007-03-15 |
Last Update Date | 2007-07-08 |