| NPI | 1891429312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2022047638) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 0000) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-12-29 |