NPI | 1629467147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001401) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA 60491079) |
Enumeration Date | 2015-01-21 |
Last Update Date | 2018-11-13 |