NPI | 1174052781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 251S00000X |
261QS1000X Clinic/Center, Student Health | |
Enumeration Date | 2017-06-07 |
Last Update Date | 2022-06-09 |