NPI | 1205077187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2011037729) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2009-03-23 |
Last Update Date | 2020-04-30 |