| NPI | 1043935976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001552) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001119) |
| 106H00000X Marriage & Family Therapist (Licence: MD LCM892) | |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |