NPI | 1033640628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 2612-R) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 86866) |
Enumeration Date | 2017-03-24 |
Last Update Date | 2019-03-20 |