NPI | 1790193118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AR M2307001) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 66336) |
106H00000X Marriage & Family Therapist (Licence: CA 105398) | |
Enumeration Date | 2014-07-29 |
Last Update Date | 2023-09-19 |