NPI | 1992957047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 1796) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 672) |
Enumeration Date | 2008-10-21 |
Last Update Date | 2008-10-21 |