| NPI | 1952790685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4571) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 83026) |
| 106H00000X Marriage & Family Therapist (Licence: NY 001354-01) | |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2024-10-13 |