NPI | 1366178147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.000201) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.001571) |
Enumeration Date | 2022-07-25 |
Last Update Date | 2023-01-14 |