NPI | 1700269925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3432) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1011-124) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2017-03-08 |