NPI | 1467010413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4390226) |
101YM0800X Counselor, Mental Health (Licence: WI 8256-125) | |
221700000X Art Therapist | |
Enumeration Date | 2019-06-04 |
Last Update Date | 2023-05-23 |