| NPI | 1336370667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ND 2016-056) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SD LMFT1220) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2020-02-17 |