| NPI | 1295208577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-15614) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2013037086) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2023-12-13 |