| NPI | 1316340219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2025021215) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2778) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2025-09-10 |