NPI | 1619271889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2022) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: NC 12064A) | |
Enumeration Date | 2011-01-03 |
Last Update Date | 2021-06-16 |