| NPI | 1225576150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NH 238) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000565) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166.001248) | |
| 106H00000X Marriage & Family Therapist (Licence: MA LMFT1885) | |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2025-01-08 |