| NPI | 1891345500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ 15343) |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2019-09-14 |