| NPI | 1487789319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM1010) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 762) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2024-10-28 |