| NPI | 1043645625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCMF517) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LGMF 017) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2022-03-22 |