NPI | 1780447912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 000000000000) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2024-01-31 |
Last Update Date | 2024-01-31 |