| NPI | 1487040572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 00666) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ND 2018-068) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2023-11-08 |