| NPI | 1255828307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35002289A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101007160) |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2024-01-17 |