| NPI | 1578014544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 3448) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2022-12-22 |