| NPI | 1154794030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1904) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 10077A) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2021-06-01 |