NPI | 1245629724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60233731) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT96198) |
Enumeration Date | 2015-01-21 |
Last Update Date | 2023-10-24 |