NPI | 1457587966 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000833) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ME MF3258) |
Enumeration Date | 2009-06-10 |
Last Update Date | 2010-04-29 |