NPI | 1073100921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2020-12-27 |
Last Update Date | 2021-06-11 |