NPI | 1285019042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106471) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VT 100.0134195) |
106H00000X Marriage & Family Therapist (Licence: WA LF61401189) | |
106H00000X Marriage & Family Therapist (Licence: OR T2355) | |
Enumeration Date | 2015-07-22 |
Last Update Date | 2024-03-18 |