NPI | 1609995745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1865) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 42618) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2019-01-22 |