NPI | 1598105728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 7827482-3902) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 43406) |
Enumeration Date | 2013-07-02 |
Last Update Date | 2018-11-27 |