| NPI | 1134735251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2435) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 12237A) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2023-12-06 |