NPI | 1104127018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001893) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-11-09 |
Last Update Date | 2025-05-23 |