NPI | 1811339195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WY LMFT-235) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 0001282) |
Enumeration Date | 2013-07-26 |
Last Update Date | 2019-11-19 |