NPI | 1891550315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 10427A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional | |
103TA0700X Psychologist, Adult Development & Aging | |
103TF0000X Psychologist, Family | |
Enumeration Date | 2024-02-14 |
Last Update Date | 2024-08-02 |