NPI | 1811147200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0001207) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA 001235) |
Enumeration Date | 2008-09-23 |
Last Update Date | 2016-10-30 |