NPI | 1174904676 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 205334) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60711369) |
106H00000X Marriage & Family Therapist (Licence: CA 86918) | |
106H00000X Marriage & Family Therapist (Licence: ID LMFT-8814) | |
Enumeration Date | 2015-06-11 |
Last Update Date | 2024-08-23 |