| NPI | 1881147742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 082487) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 082487) |
| 106H00000X Marriage & Family Therapist (Licence: CO 0001650) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 98454) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2021-10-02 |