NPI | 1447774815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717002428) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL L624) |
Enumeration Date | 2017-07-27 |
Last Update Date | 2025-09-18 |