NPI | 1114229457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1515) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60440331) |
106H00000X Marriage & Family Therapist (Licence: CA 53762) | |
Enumeration Date | 2010-11-18 |
Last Update Date | 2019-02-04 |