NPI | 1861281560 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA lh60221513) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX ln205592) |
106H00000X Marriage & Family Therapist (Licence: WA LF60232694) | |
Enumeration Date | 2025-05-01 |
Last Update Date | 2025-05-02 |