NPI | 1740810555 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV 3156) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114935) |
Enumeration Date | 2020-01-21 |
Last Update Date | 2021-09-21 |