NPI | 1497204010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA PLM1495) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
174400000X Specialist | |
Enumeration Date | 2016-09-23 |
Last Update Date | 2023-04-07 |