NPI | 1821985748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA PLM1596) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA PLC10782) |
Enumeration Date | 2025-06-23 |
Last Update Date | 2025-06-23 |