NPI | 1386775062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60139053) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 45146) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2018-01-23 |