| NPI | 1679907398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1602) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 8096A) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2020-12-01 |