NPI | 1952702599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA MFT1174) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS T0412) |
Enumeration Date | 2014-09-15 |
Last Update Date | 2014-09-15 |