NPI | 1902386345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AR M2101022) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1805047) |
Enumeration Date | 2018-08-15 |
Last Update Date | 2023-11-07 |