| NPI | 1245906536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM1003) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LGM837) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2024-03-22 |