| NPI | 1154964310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3895) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT3014) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2023-09-27 |