NPI | 1013446616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AR M1705015) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001165) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2017-06-07 |