| NPI | 1962008359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2064) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1671) |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-10 |