| NPI | 1144656513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001511) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV NVMFT01383) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2024-10-16 |