NPI | 1114164829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0613) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MC37016) |
Enumeration Date | 2009-01-16 |
Last Update Date | 2009-01-16 |