| NPI | 1780195388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 087932) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 3164) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2020-05-19 |