NPI | 1386003739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0001296) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 89893) |
Enumeration Date | 2016-02-14 |
Last Update Date | 2016-02-14 |