NPI | 1518120419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001059) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 1059) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2024-07-11 |