| NPI | 1033520879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 7062) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 3091) |
| 106H00000X Marriage & Family Therapist (Licence: CO 1137) | |
| 106H00000X Marriage & Family Therapist (Licence: SC 8362) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2023-11-21 |