NPI | 1144664533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC LMFT000177) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001345) |
106H00000X Marriage & Family Therapist (Licence: MD LCM590) | |
Enumeration Date | 2013-04-29 |
Last Update Date | 2016-09-02 |