NPI | 1194574756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR A2007091) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR A2007007) |
Enumeration Date | 2024-05-16 |
Last Update Date | 2024-05-16 |