| NPI | 1023695160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001643) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002365) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2024-05-23 |