NPI | 1427107747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM353) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: DC 000024) |
106H00000X Marriage & Family Therapist (Licence: MA 556) | |
Enumeration Date | 2007-01-09 |
Last Update Date | 2008-11-28 |