| NPI | 1275110983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL M3737) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001554) |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2021-03-27 |