NPI | 1285816678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61093334) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 6779692-3902) |
Enumeration Date | 2007-11-28 |
Last Update Date | 2022-09-16 |