NPI | 1104070481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ME MF5179) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC35116) |
Enumeration Date | 2008-11-12 |
Last Update Date | 2021-01-21 |