| NPI | 1932773504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 01898) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 12306A) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2024-10-14 |