| NPI | 1851778518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1811) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 10028A) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2018-09-19 |