NPI | 1164924809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC-767) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2018-03-07 |
Last Update Date | 2021-05-05 |