NPI | 1962971978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1397-124) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
106H00000X Marriage & Family Therapist | |
106H00000X Marriage & Family Therapist (Licence: WI 659-228) | |
Enumeration Date | 2018-11-19 |
Last Update Date | 2021-10-19 |