NPI | 1235380122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1360) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: RI MFT00112) |
Enumeration Date | 2008-10-09 |
Last Update Date | 2010-03-23 |