NPI | 1538744057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15368) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT4171) |
Enumeration Date | 2021-03-16 |
Last Update Date | 2025-04-14 |