| NPI | 1194369538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 119898) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2023-09-13 |