NPI | 1073643367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1937) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 41204) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2018-05-29 |