| NPI | 1326307398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001870) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 205183) |
| 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002161) | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2025-03-10 |