| NPI | 1497380869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2360) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 12217A) |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2022-07-29 |