NPI | 1760881940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MT 74556) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IA 074101) |
106H00000X Marriage & Family Therapist (Licence: CO 0001533) | |
Enumeration Date | 2014-08-14 |
Last Update Date | 2025-07-17 |