| NPI | 1558937755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3791) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.001347) |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2021-08-24 |