| NPI | 1962973198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ME MF6484) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ME XM5146) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2025-02-12 |