| NPI | 1528115136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 000288) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1668) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2022-01-23 |