NPI | 1306121918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DE FA-0000006) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2011-10-14 |
Last Update Date | 2019-02-26 |