NPI | 1407133374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ME 4701) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 77397) |
Enumeration Date | 2011-11-07 |
Last Update Date | 2022-07-21 |