| NPI | 1730655150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2008018147) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2012022112) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2019-09-30 |