NPI | 1295546448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 117394853902) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-9984) |
Enumeration Date | 2025-01-16 |
Last Update Date | 2025-01-16 |