NPI | 1972615219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-204) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-3003) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2016-01-27 |