| NPI | 1205202165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 128393) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 10076A) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2025-05-22 |