NPI | 1275589467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DE FT-0000013) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 5143) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2008-01-30 |