NPI | 1750622080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3682) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1037-124) |
Enumeration Date | 2013-03-12 |
Last Update Date | 2018-06-19 |