NPI | 1982896973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60742055) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC40718) |
Enumeration Date | 2007-08-14 |
Last Update Date | 2020-11-01 |