| NPI | 1124592027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT-690) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006778) |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2023-03-07 |