NPI | 1598258907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1904) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 10675178-3904) |
Enumeration Date | 2018-06-11 |
Last Update Date | 2025-04-14 |