| NPI | 1073562765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AK 161621) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 4652) |
| 106H00000X Marriage & Family Therapist (Licence: NC 1577) | |
| 106H00000X Marriage & Family Therapist (Licence: CT 000961) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-12-22 |