NPI | 1316084981 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001425) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 50679) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2024-02-02 |