NPI | 1770851180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2375) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2011039792) |
Enumeration Date | 2011-12-13 |
Last Update Date | 2012-08-30 |