| NPI | 1922517283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2391) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3131) |
| 106H00000X Marriage & Family Therapist (Licence: WA LF61235296) | |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2025-04-08 |