NPI | 1376140426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT002115) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LCM1083) |
Enumeration Date | 2020-10-01 |
Last Update Date | 2025-05-19 |