NPI | 1003009432 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0109041) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0109031) |
101YM0800X Counselor, Mental Health (Licence: NM 0102221) | |
Enumeration Date | 2007-08-20 |
Last Update Date | 2023-11-16 |