| NPI | 1174989818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: 125938) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2023-01-20 |