NPI | 1457999179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4173) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-12-12 |
Last Update Date | 2023-05-24 |