NPI | 1235324526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2024012073) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 883) |
Enumeration Date | 2007-09-10 |
Last Update Date | 2024-04-08 |