NPI | 1609233329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MI0633) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NV MI0633) |
Enumeration Date | 2016-01-26 |
Last Update Date | 2016-01-26 |