| NPI | 1063955748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 15443) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IA 080610) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2024-08-01 |