NPI | 1497203988 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ND 2018-063) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ND 2013-015A) |
Enumeration Date | 2016-09-14 |
Last Update Date | 2020-02-17 |