| NPI | 1023745510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 2151) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 20252) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2024-05-24 |