NPI | 1952695611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP5581-R) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0173421) |
106H00000X Marriage & Family Therapist (Licence: CA IMF 60030) | |
Enumeration Date | 2011-05-30 |
Last Update Date | 2024-01-10 |