| NPI | 1922465228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4913) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL PMT225) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2024-06-20 |