NPI | 1881627974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 3957) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 3957) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2025-09-11 |