| NPI | 1831784677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2489) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 12293A) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2025-03-07 |