| NPI | 1629340104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001825A) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2021-03-02 |