| NPI | 1811510449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137532) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 289533) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35002443A) | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2026-01-20 |