NPI | 1801476767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0717001813) |
Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0717001813) |
101YP2500X Counselor, Professional (Licence: VA 0717001813) | |
106H00000X Marriage & Family Therapist (Licence: VA 0717001813) | |
Enumeration Date | 2021-04-13 |
Last Update Date | 2024-02-23 |