NPI | 1003160110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DE FT-0000046) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000584) |
Enumeration Date | 2012-10-29 |
Last Update Date | 2018-09-14 |