NPI | 1427729045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 4193-R) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA mf001304) |
101YM0800X Counselor, Mental Health (Licence: UT 12466823-3902) | |
106H00000X Marriage & Family Therapist (Licence: UT 12466823-3902) | |
Enumeration Date | 2021-09-23 |
Last Update Date | 2023-08-14 |