NPI | 1144881780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002565A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH16770) |
101YM0800X Counselor, Mental Health (Licence: AK 169175) | |
106H00000X Marriage & Family Therapist (Licence: IN 35001839A) | |
Enumeration Date | 2019-06-25 |
Last Update Date | 2024-09-09 |