| NPI | 1790360444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VT 100.0111473) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 5869472-3902) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-03-15 |