| NPI | 1356899546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM756) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2852) |
| 106H00000X Marriage & Family Therapist (Licence: KS 2794) | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2020-02-18 |