| NPI | 1528265600 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35002366A) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 1081) | 
| 106H00000X Marriage & Family Therapist (Licence: CT 3202) | |
| Enumeration Date | 2007-07-02 | 
| Last Update Date | 2025-09-05 |