NPI | 1336710706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 27.002577) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 3289) |
Enumeration Date | 2021-07-07 |
Last Update Date | 2023-10-26 |