NPI | 1356709968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 9883021-3902) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
106H00000X Marriage & Family Therapist (Licence: MO 2014030128) | |
Enumeration Date | 2016-02-10 |
Last Update Date | 2017-02-01 |