NPI | 1407666043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA PLM1510) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA PLC9635) |
Enumeration Date | 2025-01-07 |
Last Update Date | 2025-01-07 |