| NPI | 1407249337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1941) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 1721) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2022-04-05 |