NPI | 1790517670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT5009) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MT5009) |
Enumeration Date | 2024-08-19 |
Last Update Date | 2025-03-10 |