NPI | 1194990812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT-538) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-04-23 |
Last Update Date | 2021-09-23 |