| NPI | 1780231431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2032) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ 15247) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |