NPI | 1497264386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001869) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF61073171) |
Enumeration Date | 2017-09-24 |
Last Update Date | 2024-12-06 |