| NPI | 1649723735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 6964) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6964) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2021-07-12 |