| NPI | 1821503079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MS T0526) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS T0526A) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2023-09-14 |