| NPI | 1912792979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 20554A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0730000794) |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-11-18 |