NPI | 1760183289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL 5180) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID 8341156) |
Enumeration Date | 2023-03-13 |
Last Update Date | 2025-03-14 |