NPI | 1992214597 |
---|---|
Former Name | JOANN PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 126094) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2017-09-26 |
Last Update Date | 2021-09-07 |