| NPI | 1265791164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL 419) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1337) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2022-03-14 |