NPI | 1720692528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61403530) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA 61141001) |
106H00000X Marriage & Family Therapist (Licence: CA 120257) | |
Enumeration Date | 2020-08-31 |
Last Update Date | 2024-07-22 |