| NPI | 1164781001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01327) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV MI0333) |
| Enumeration Date | 2012-05-13 |
| Last Update Date | 2019-08-14 |