| NPI | 1720251176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1483) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI MFT 180) |
| 106H00000X Marriage & Family Therapist (Licence: NC 7052A) | |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2022-07-21 |