NPI | 1659043826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 11897194-3904) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT116597) |
Enumeration Date | 2021-10-05 |
Last Update Date | 2021-10-05 |