NPI | 1144656513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001511) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV NVMFT01383) |
Enumeration Date | 2013-09-17 |
Last Update Date | 2024-10-16 |