| NPI | 1861755951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T1159) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166.000996) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2022-02-09 |