NPI | 1598188336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60688075) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 3316-R) |
Enumeration Date | 2014-01-30 |
Last Update Date | 2024-01-24 |