| NPI | 1659015576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-15892) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 4578-R) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2025-06-24 |