| NPI | 1326822990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM1132) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717002491) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2026-04-21 |