NPI | 1326583154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MI4032) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CI5055) |
106H00000X Marriage & Family Therapist (Licence: WI 727-228) | |
Enumeration Date | 2017-01-03 |
Last Update Date | 2022-05-20 |