| NPI | 1366893547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG60357212) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: RI MFT00248) |
| 106H00000X Marriage & Family Therapist (Licence: NM CTB-2024-0637) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2025-01-20 |