| NPI | 1275110348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2230) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 12209A) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2024-01-16 |