NPI | 1528305182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2014000268) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2013-01-15 |
Last Update Date | 2023-04-19 |