| NPI | 1932660248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 2268) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 12150A) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2022-05-05 |