| NPI | 1912581919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DE FT0010163) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT4857) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2025-05-02 |