| NPI | 1114491180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM707) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: DC LMFT000144) |
| 106H00000X Marriage & Family Therapist (Licence: VA LMFT717001490) | |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |