| NPI | 1962717991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 8006) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01232) |
| Enumeration Date | 2010-08-14 |
| Last Update Date | 2023-11-14 |