| NPI | 1548600943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MI4055) |
| Additional Taxonomies | 103TR0400X Psychologist Rehabilitation |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2022-05-03 |