| NPI | 1356699011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS T10440) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2025-01-29 |