| NPI | 1245605187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1818) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 10061A) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2022-08-18 |