| NPI | 1457799199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MS T0465A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS 1947) |
| 106H00000X Marriage & Family Therapist (Licence: MS T0465) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2021-03-24 |