NPI | 1346670577 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VT 100.0134404) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist (Licence: MA 1849) | |
Enumeration Date | 2013-11-25 |
Last Update Date | 2025-01-13 |