NPI | 1629596614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T2235) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR R4875) |
106H00000X Marriage & Family Therapist (Licence: ID LMFT-9488) | |
Enumeration Date | 2017-08-30 |
Last Update Date | 2023-07-20 |