| NPI | 1619113420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CMF0218751) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T0795) |
| 106H00000X Marriage & Family Therapist (Licence: WA LF60309365) | |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2021-07-29 |