| NPI | 1649755471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2420) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT5074) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2024-11-19 |