| NPI | 1245819259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL L604) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS T0516A) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2023-01-23 |