| NPI | 1114303898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1678) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: RI MFT00169) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2021-03-15 |