| NPI | 1235641358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 20875) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 4389) |
| 106H00000X Marriage & Family Therapist (Licence: TX 206162) | |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2025-09-30 |