NPI | 1962080713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
172V00000X Community Health Worker | |
Enumeration Date | 2021-04-01 |
Last Update Date | 2024-03-21 |