| NPI | 1831740109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3947) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VT 100.0057956) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2023-06-01 |