| NPI | 1811215551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 4196-R) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT001134) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2021-10-25 |