NPI | 1992008684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0454) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR T0454) |
Enumeration Date | 2010-12-18 |
Last Update Date | 2022-09-12 |