| NPI | 1346940525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 1087) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WY 213) |
| 106H00000X Marriage & Family Therapist (Licence: AZ 15900) | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |