| NPI | 1417521386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2572) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 12193A) |
| Enumeration Date | 2021-05-16 |
| Last Update Date | 2024-12-10 |