| NPI | 1417646118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM667) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717002468) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2026-02-19 |