| NPI | 1386086403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006926) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: RI MFT00156) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2022-08-04 |