NPI | 1902227242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA LMFT #586) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NBCC #1554) |
101YM0800X Counselor, Mental Health (Licence: MA LMHC #1613) | |
Enumeration Date | 2014-01-03 |
Last Update Date | 2024-01-28 |