NPI | 1619518479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 12068682-3902) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15434) |
106H00000X Marriage & Family Therapist (Licence: CA 87921) | |
101YM0800X Counselor, Mental Health (Licence: MN 2912) | |
106H00000X Marriage & Family Therapist (Licence: FL MT4230) | |
Enumeration Date | 2019-10-03 |
Last Update Date | 2021-12-02 |