NPI | 1194574756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P24110001) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A2007091) |
106H00000X Marriage & Family Therapist (Licence: AR F2007007) | |
106H00000X Marriage & Family Therapist (Licence: AR M24110001) | |
Enumeration Date | 2024-05-16 |
Last Update Date | 2025-01-15 |