| NPI | 1033646526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2044) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 12032A) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2023-01-05 |