NPI | 1407484579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC LMFT200001272) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC LGPC00715) |
Enumeration Date | 2020-04-01 |
Last Update Date | 2024-01-21 |