| NPI | 1316077696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WY 203) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 578) |
| 106H00000X Marriage & Family Therapist (Licence: TN 310445) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2023-02-03 |