| NPI | 1841734639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1997) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC LMFTA 11087-A) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2023-10-24 |