| NPI | 1043879786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2070) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LCM615) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2022-04-22 |