NPI | 1780281022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MT 37565) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202714) |
Enumeration Date | 2020-10-08 |
Last Update Date | 2020-10-08 |