NPI | 1508112681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: DE FT-0000050) |
106H00000X Marriage & Family Therapist (Licence: NY 001129) | |
Enumeration Date | 2012-07-26 |
Last Update Date | 2024-12-09 |