| NPI | 1659815025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM668) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LGM551) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2021-02-26 |