| NPI | 1891261905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 15384) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ 10482) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2022-09-12 |