| NPI | 1528459419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AR M1911012) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01487) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2020-07-06 |