NPI | 1477075208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 12508A) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 129246) |
Enumeration Date | 2017-07-13 |
Last Update Date | 2024-01-10 |