NPI | 1588029565 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0015244) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 0014005) |
Enumeration Date | 2015-12-17 |
Last Update Date | 2019-04-02 |