NPI | 1154840858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0001864) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 97145) |
106H00000X Marriage & Family Therapist (Licence: CA 121819) | |
Enumeration Date | 2017-09-13 |
Last Update Date | 2022-11-04 |