| NPI | 1760788228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2018023956) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 10-41) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2023-07-26 |