| NPI | 1487041828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001840) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1115-124) |
| 106H00000X Marriage & Family Therapist (Licence: NC 10418) | |
| 106H00000X Marriage & Family Therapist (Licence: UT 13464643-3902) | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2025-02-21 |