NPI | 1285177667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 61123107) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 0013635) |
Enumeration Date | 2016-12-02 |
Last Update Date | 2021-11-18 |