| NPI | 1841076098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4428) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2021028278) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |