NPI | 1720100175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 529136) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 1339) |
106H00000X Marriage & Family Therapist (Licence: CO 688) | |
Enumeration Date | 2007-04-05 |
Last Update Date | 2019-08-29 |