| NPI | 1336678226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4364) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 205626) |
| 106H00000X Marriage & Family Therapist (Licence: VT 100.0134184) | |
| 106H00000X Marriage & Family Therapist (Licence: DE MI0000007) | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2024-09-30 |