| NPI | 1609303650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4680) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1833) |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2019-10-28 |