NPI | 1255354098 |
---|---|
Former Name | KATHARINA SELLENKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ AZMFT15530) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ AZLPC19343) |
101YP2500X Counselor, Professional (Licence: CA LPC2006) | |
106H00000X Marriage & Family Therapist (Licence: CA CAMFT34230) | |
106H00000X Marriage & Family Therapist (Licence: CA MFT34230) | |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ AZRN249135) | |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA RN330115) | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2023-07-28 |