NPI | 1518508431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DE FT0000029) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000690) |
Enumeration Date | 2019-10-02 |
Last Update Date | 2020-10-05 |