NPI | 1174269427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-15964) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LAMFT-10682) |
Enumeration Date | 2022-05-10 |
Last Update Date | 2023-11-30 |