NPI | 1891522827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2023005306) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID 7161173) |
Enumeration Date | 2024-09-16 |
Last Update Date | 2024-09-16 |