| NPI | 1932640828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC LMFT2021) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 12022A) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2019-08-09 |