| NPI | 1245826148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2322) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 13609815-3902) |
| 106H00000X Marriage & Family Therapist (Licence: ID 10054) | |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT002106) | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2024-03-29 |