| NPI | 1629491592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4669) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2867) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2022-07-06 |