NPI | 1003925512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 328) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 2012) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2025-09-11 |