NPI | 1023671849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006781) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI 562) |
Enumeration Date | 2019-04-17 |
Last Update Date | 2019-04-17 |