| NPI | 1649838699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 269812) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 113394) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2021-06-29 |