NPI | 1548731623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL mh16515) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2018-12-16 |
Last Update Date | 2024-02-15 |