| NPI | 1093534729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 2544) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 01425) |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |