| NPI | 1457577066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ME MF5215) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 49401223902) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2024-05-05 |