| NPI | 1508410929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2019042263) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 7050) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2020-12-10 |