NPI | 1104226240 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4634) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2014-08-26 |
Last Update Date | 2019-04-18 |