| NPI | 1528618881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 002086) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 002235) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2024-04-18 |