NPI | 1063940575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61143651) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202951) |
106H00000X Marriage & Family Therapist (Licence: NM CMF0223361) | |
Enumeration Date | 2017-05-28 |
Last Update Date | 2022-12-06 |