| NPI | 1508409715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006694) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001905A) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2021-01-04 |