NPI | 1730699059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 12055A) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 12055A) |
Enumeration Date | 2017-10-02 |
Last Update Date | 2017-11-28 |