| NPI | 1275095572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ME MF6974) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ME XM5671) |
| 106H00000X Marriage & Family Therapist (Licence: ME TXM5833) | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2022-12-14 |