NPI | 1831738418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 8056) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YS0200X Counselor, School (Licence: SC 248283) | |
Enumeration Date | 2019-12-31 |
Last Update Date | 2024-10-14 |