| NPI | 1750980397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL L550) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS T0533) |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2023-01-11 |