| NPI | 1073953097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT4668) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2025-04-01 |