NPI | 1033587902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ND 2013-043) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2311) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2015-09-09 |