| NPI | 1912312240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01513) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV MI0531) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2018-03-09 |