| NPI | 1447774815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717002428) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL L624) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2025-09-18 |