NPI | 1568701167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 356) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 67981) |
101YP2500X Counselor, Professional (Licence: LA 2016) | |
Enumeration Date | 2013-02-04 |
Last Update Date | 2021-05-10 |