| NPI | 1780012179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2021042322) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2021042322) |
| 101YP2500X Counselor, Professional (Licence: AR A1309124) | |
| 106H00000X Marriage & Family Therapist (Licence: AR A1309019) | |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2022-06-11 |