NPI | 1447599642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4597) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 4597) |
Enumeration Date | 2013-02-07 |
Last Update Date | 2023-03-31 |