| NPI | 1730521691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA LMFT10000236) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2748) |
| Enumeration Date | 2013-07-20 |
| Last Update Date | 2024-10-09 |