NPI | 1740004084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1330) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT135687) |
106H00000X Marriage & Family Therapist (Licence: WA LF61289971) | |
Enumeration Date | 2024-11-13 |
Last Update Date | 2024-11-13 |