| NPI | 1073973897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM585) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LGM501) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2020-11-22 |