| NPI | 1013239680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM401) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LGM350) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2021-11-29 |