NPI | 1194858043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61366693) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF52881) |
106H00000X Marriage & Family Therapist (Licence: CA IMF74530) | |
Enumeration Date | 2007-03-13 |
Last Update Date | 2025-06-30 |