NPI | 1972008993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717002037) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 124064) |
106H00000X Marriage & Family Therapist (Licence: CA 117319) | |
Enumeration Date | 2018-03-30 |
Last Update Date | 2024-09-27 |