| NPI | 1861556425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1455) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC36108) |
| 106H00000X Marriage & Family Therapist (Licence: NC LMFT1550) | |
| 106H00000X Marriage & Family Therapist (Licence: WA LF60858344) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2023-07-24 |