| NPI | 1124475330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 251S00000X | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2020-02-10 |