NPI | 1659919801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC LMFT000222) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001553) |
Enumeration Date | 2019-12-18 |
Last Update Date | 2019-12-18 |