NPI | 1841997251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR T1501) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T1501) |
Enumeration Date | 2023-02-15 |
Last Update Date | 2023-02-15 |