| NPI | 1265587430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1303) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 785) |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101006188) | |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT000954) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-12-11 |