NPI | 1871019919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4965) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 2917) |
Enumeration Date | 2017-08-21 |
Last Update Date | 2024-07-15 |