NPI | 1063993483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DE FT-0000059) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2018-08-23 |
Last Update Date | 2022-05-01 |