| NPI | 1588300305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3054) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 7068) |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-05-05 |