NPI | 1316235799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 7136699-3904) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 136699-3904) |
Enumeration Date | 2011-07-19 |
Last Update Date | 2024-04-22 |