NPI | 1124651401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 4433) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL TPMF1012) |
Enumeration Date | 2020-02-14 |
Last Update Date | 2023-10-18 |