NPI | 1588427181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3198) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2022031259) |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-02-05 |