| NPI | 1477012334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2271) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 12138A) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2022-10-18 |