| NPI | 1255783692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 11061A) |
| 106H00000X Marriage & Family Therapist (Licence: NC 2027) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2021-04-26 |