| NPI | 1659926970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1821-MH-MF) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106H00000X Marriage & Family Therapist (Licence: SC 7635) | |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2021-05-30 |