| NPI | 1184155665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4668) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 7031) |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2021-08-02 |