| NPI | 1821383175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 0000000839) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2011003480) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2022-12-18 |