NPI | 1710463781 |
---|---|
Former Name | EMILY ANNE BECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 15332) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ 10549) |
Enumeration Date | 2018-07-12 |
Last Update Date | 2021-05-13 |