| NPI | 1609230986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2016006062) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT4391) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2023-03-23 |