NPI | 1154669919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC LMFT000157) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00167900) |
Enumeration Date | 2013-01-29 |
Last Update Date | 2013-01-29 |