NPI | 1912271925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001970) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60586400) |
106H00000X Marriage & Family Therapist (Licence: CA 53890) | |
Enumeration Date | 2012-03-08 |
Last Update Date | 2024-01-11 |