NPI | 1033320130 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001127) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 0618) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2019-12-27 |