| NPI | 1225524721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4685) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 3098) |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2023-09-29 |