NPI | 1013365576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60961266) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 10041A) |
106H00000X Marriage & Family Therapist (Licence: GA AMFT000437) | |
Enumeration Date | 2016-05-25 |
Last Update Date | 2020-08-01 |