| NPI | 1609942887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 106668) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35002033A) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 40254 (inactive)) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2024-03-25 |