| NPI | 1659063030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LAMFT-9405) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID MFTI-9406) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-06-07 |