NPI | 1578618666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT797) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM 0086421) |
106H00000X Marriage & Family Therapist (Licence: CA MFC 38437) | |
Enumeration Date | 2007-01-25 |
Last Update Date | 2024-12-19 |