| NPI | 1629170493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WY LMFT-233) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1597) |
| 106H00000X Marriage & Family Therapist (Licence: SD LMFT1210) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2019-08-07 |