NPI | 1114472776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VT 100.0134008) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF96786) |
106H00000X Marriage & Family Therapist (Licence: VT 097.0134166) | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2016-08-23 |
Last Update Date | 2023-12-13 |