NPI | 1942658414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4374) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202014) |
Enumeration Date | 2016-05-25 |
Last Update Date | 2023-01-31 |