NPI | 1770939928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61502465) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WY LMFT-220) |
Enumeration Date | 2016-05-06 |
Last Update Date | 2023-12-06 |