NPI | 1528459419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AR M1911012) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01487) |
Enumeration Date | 2015-02-12 |
Last Update Date | 2020-07-06 |