NPI | 1588238109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16450) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 16450) |
Enumeration Date | 2021-05-18 |
Last Update Date | 2021-08-13 |