NPI | 1104258581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG60848433) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60941391) |
106H00000X Marriage & Family Therapist (Licence: CA 105655) | |
106H00000X Marriage & Family Therapist | |
106H00000X Marriage & Family Therapist (Licence: WA 105655) | |
Enumeration Date | 2013-08-07 |
Last Update Date | 2021-11-17 |