NPI | 1619098811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 7942986-3902) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 46543) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2011-04-27 |