NPI | 1518213727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA 1141) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 88211) |
Enumeration Date | 2012-07-25 |
Last Update Date | 2020-07-22 |