NPI | 1801934278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 000001550) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 000000904) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2016-07-11 |