| NPI | 1144787474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2155) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 12119A) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2022-01-06 |