| NPI | 1174052781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 251S00000X |
| 261QS1000X Clinic/Center, Student Health | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-06-09 |