| NPI | 1154856193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1516) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT84288) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166.001088) | |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2023-04-06 |