NPI | 1609226463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001689) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208000502) |
Enumeration Date | 2016-06-13 |
Last Update Date | 2021-06-09 |