NPI | 1811368855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 1285) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL 416) |
Enumeration Date | 2015-10-16 |
Last Update Date | 2015-10-16 |