NPI | 1720251176 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1483) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI MFT 180) |
106H00000X Marriage & Family Therapist (Licence: NC 7052A) | |
Enumeration Date | 2008-04-07 |
Last Update Date | 2022-07-21 |