NPI | 1730312117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001187) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 41961) |
Enumeration Date | 2009-09-01 |
Last Update Date | 2009-09-01 |