| NPI | 1174022297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1857) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL L478) |
| Enumeration Date | 2018-02-04 |
| Last Update Date | 2024-12-10 |