| NPI | 1376999805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2226) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001298) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2023-09-05 |