NPI | 1225685217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DE FT0010097) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF001387) |
Enumeration Date | 2019-08-23 |
Last Update Date | 2024-06-12 |