| NPI | 1518509355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL IMT3174) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT4695) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2024-04-16 |