| NPI | 1720611940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist (Licence: HI MFT-785) | |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2022-08-19 |