NPI | 1265559132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717002088) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
106H00000X Marriage & Family Therapist (Licence: CA 79849) | |
Enumeration Date | 2007-03-23 |
Last Update Date | 2024-06-13 |