| NPI | 1265662134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1160) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006414) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166.000892) | |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2022-03-23 |