NPI | 1609578475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC 200001494) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC 200001494) |
101YP2500X Counselor, Professional (Licence: DC PRC200002418) | |
Enumeration Date | 2023-03-17 |
Last Update Date | 2025-08-05 |