| NPI | 1275172199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000485-1) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-10550) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717002143) | |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2024-08-13 |