| NPI | 1427457548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001323) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 1459) |
| 106H00000X Marriage & Family Therapist (Licence: LA MFT1418) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2022-06-05 |