| NPI | 1033758941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AK 167681) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AK 617) |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2021-05-26 |