| NPI | 1275041535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 4514) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717001964) | |
| 106H00000X Marriage & Family Therapist (Licence: NY 001827) | |
| 106H00000X Marriage & Family Therapist (Licence: HI 695) | |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2023-03-02 |