| NPI | 1649740499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 276634) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 93428) |
| 106H00000X Marriage & Family Therapist (Licence: CA 94328) | |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2024-03-18 |