NPI | 1033520879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 7062) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 3091) |
106H00000X Marriage & Family Therapist (Licence: CO 1137) | |
106H00000X Marriage & Family Therapist (Licence: SC 8362) | |
Enumeration Date | 2014-05-14 |
Last Update Date | 2023-11-21 |