NPI | 1043334675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2697) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC46668) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2014-01-10 |