| NPI | 1497144802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2150) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 12128A) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2021-01-25 |