NPI | 1730790197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-15666) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LAMFT-10611) |
Enumeration Date | 2020-08-11 |
Last Update Date | 2024-01-16 |