NPI | 1023413739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 2815) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002617) |
Enumeration Date | 2014-10-24 |
Last Update Date | 2024-08-13 |