| NPI | 1124575071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3229) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ 115826) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2023-09-14 |