| NPI | 1700342565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 4252) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.001711) |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2024-02-16 |