| NPI | 1619121571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000962) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 44677) |
| 106H00000X Marriage & Family Therapist (Licence: CO 0001997) | |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2023-06-27 |