| NPI | 1215965371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1223) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: RI 00086) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2025-10-21 |