| NPI | 1285127944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL L644) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 1496) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2024-07-23 |