| NPI | 1205403664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV M14004) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA imf87998) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-14 |