| NPI | 1184112922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1978) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 113907043902) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2022-11-15 |