| NPI | 1568159523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717002035) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT002045) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2024-01-19 |