| NPI | 1417490160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ND 2019-071) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106H00000X Marriage & Family Therapist (Licence: ND 2016-036A) | |
| 174400000X Specialist | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2025-01-23 |