NPI | 1114668340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LMFT4243) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL LMFT4243) |
Enumeration Date | 2022-04-03 |
Last Update Date | 2022-04-03 |