NPI | 1427203363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AK 178321) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2009037392) |
106H00000X Marriage & Family Therapist (Licence: KS 2804) | |
106H00000X Marriage & Family Therapist (Licence: CA MFC 40838) | |
Enumeration Date | 2008-11-19 |
Last Update Date | 2024-02-06 |