| NPI | 1902646987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL A302) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 3817) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-29 |