| NPI | 1366924425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL L517) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001501) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2020-06-30 |