NPI | 1053542621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60760434) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI MFT 218) |
Enumeration Date | 2009-07-30 |
Last Update Date | 2022-07-21 |