| NPI | 1861761462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2875) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2018038211) |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT001291) | |
| 106H00000X Marriage & Family Therapist (Licence: NC 1470) | |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2022-02-11 |