| NPI | 1548768013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MT 42777) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV MI0893) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2020-03-23 |