NPI | 1609523505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0732001714) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0733001538) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2022-03-10 |
Last Update Date | 2022-03-10 |