| NPI | 1629387204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL 378) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 03528) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2025-08-18 |