NPI | 1841820941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1926) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R4522) |
101YM0800X Counselor, Mental Health (Licence: T1926) | |
106H00000X Marriage & Family Therapist (Licence: OR R4522) | |
Enumeration Date | 2020-01-17 |
Last Update Date | 2021-09-08 |