| NPI | 1083142772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL L498) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL A183) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-08-12 |