| NPI | 1861948192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4696) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 7937) |
| 106H00000X Marriage & Family Therapist (Licence: SC 6382) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2024-05-13 |