NPI | 1780168211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6583) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T2074) |
106H00000X Marriage & Family Therapist (Licence: CA LMFT155362) | |
Enumeration Date | 2018-09-20 |
Last Update Date | 2025-09-29 |