NPI | 1437507944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3674) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 5399) |
101YM0800X Counselor, Mental Health (Licence: FL MT3674) | |
106H00000X Marriage & Family Therapist (Licence: CA 104578) | |
Enumeration Date | 2016-05-25 |
Last Update Date | 2020-08-28 |