NPI | 1467898072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60300384) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 40541) |
Enumeration Date | 2013-05-22 |
Last Update Date | 2013-05-22 |