NPI | 1972899755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL mt2902) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A8568) |
Enumeration Date | 2011-06-21 |
Last Update Date | 2017-10-16 |