NPI | 1235340100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF00000870) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC29226) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2010-08-11 |