NPI | 1770857245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA LMFT10000475) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2012-03-01 |
Last Update Date | 2025-07-17 |