| NPI | 1053968255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2380) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 12155A) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2023-01-17 |