NPI | 1407238074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P1803022) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M1804008) |
Enumeration Date | 2015-06-19 |
Last Update Date | 2023-11-22 |