| NPI | 1134805716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID 7861463) |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2025-05-15 |