NPI | 1780885640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF00001427) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000468) |
106H00000X Marriage & Family Therapist (Licence: CA MFC31482) | |
Enumeration Date | 2007-05-29 |
Last Update Date | 2009-11-05 |