NPI | 1932415262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60411461) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SD LMFT11517) |
106H00000X Marriage & Family Therapist (Licence: MI 4101007245) | |
106H00000X Marriage & Family Therapist (Licence: IA 113225) | |
Enumeration Date | 2010-08-24 |
Last Update Date | 2023-01-18 |