NPI | 1962061218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1376-124) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1376124) |
106H00000X Marriage & Family Therapist (Licence: WI 689-228) | |
Enumeration Date | 2019-06-11 |
Last Update Date | 2025-09-02 |