| NPI | 1669011763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AK 188253) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AK 152751) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2023-02-06 |