| NPI | 1952734253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1077) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: Pre-licensed) |
| Enumeration Date | 2013-08-10 |
| Last Update Date | 2019-06-27 |