NPI | 1194018044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO .0001261) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 46210) |
Enumeration Date | 2011-05-25 |
Last Update Date | 2019-08-09 |