| NPI | 1912595554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 911) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ 10744) |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2024-05-11 |