NPI | 1639634892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 2667) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-02-01 |
Last Update Date | 2022-01-04 |