| NPI | 1790367332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4666) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IMT3310) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2023-05-30 |