NPI | 1518541754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T2465) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101Y00000X Counselor | |
Enumeration Date | 2021-05-12 |
Last Update Date | 2025-09-12 |