NPI | 1801856042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 1325) |
Additional Taxonomies | 104100000X Social Worker (Licence: SC 1929) |
106H00000X Marriage & Family Therapist (Licence: SC 1644) | |
Enumeration Date | 2006-03-23 |
Last Update Date | 2023-11-21 |