| NPI | 1407282379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2019006636) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 351-228) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2023-10-11 |