NPI | 1962866897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4359) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF61478770) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2025-09-30 |