| NPI | 1013479567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2024012933) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2024-08-14 |