| NPI | 1063877827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM632) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD LGM522) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2025-01-09 |