NPI | 1215272141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1025-124) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2012-12-04 |
Last Update Date | 2018-03-17 |