NPI | 1932648193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60929911) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMFT70412) |
106H00000X Marriage & Family Therapist (Licence: CA LMFT98964) | |
Enumeration Date | 2017-02-20 |
Last Update Date | 2021-08-27 |