NPI | 1447625850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID 6683) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2015-12-10 |
Last Update Date | 2018-03-17 |