NPI | 1205173721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35002164A) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 95762) |
Enumeration Date | 2013-01-04 |
Last Update Date | 2021-06-24 |