NPI | 1679783872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2008022376) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000592-1) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2008-12-23 |