| NPI | 1609226463 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001689) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208000502) | 
| Enumeration Date | 2016-06-13 | 
| Last Update Date | 2021-06-09 |