| NPI | 1205573110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-7376T) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT001917) |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2023-05-17 |