| NPI | 1750794772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1723) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 9094A) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2026-03-09 |