NPI | 1982832804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 2593) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT 1299) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2012-04-17 |