NPI | 1417420225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
101YM0800X Counselor, Mental Health | |
103TP2701X Psychologist, Group Psychotherapy | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2019-01-03 |
Last Update Date | 2020-04-04 |