NPI | 1770870271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM 204) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004297) |
Enumeration Date | 2011-07-05 |
Last Update Date | 2024-08-13 |