| NPI | 1366064990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1847-MH-MF) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: RI MFT000233) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166.001376) | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2021-11-30 |