| NPI | 1700627239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM994) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: DC LMFT200001320) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |