NPI | 1154653525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC LMFT000038) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001366) |
Enumeration Date | 2010-02-09 |
Last Update Date | 2015-12-01 |