NPI | 1174107783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 10000079) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2021-05-10 |
Last Update Date | 2025-01-09 |