NPI | 1386086403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006926) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: RI MFT00156) |
Enumeration Date | 2013-07-18 |
Last Update Date | 2022-08-04 |