| NPI | 1790243269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4494) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL L521) |
| 106H00000X Marriage & Family Therapist (Licence: AL 198A) | |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2023-05-15 |