| NPI | 1932622982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2366) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 7025) |
| 106H00000X Marriage & Family Therapist (Licence: MS T0507) | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2023-12-08 |