| NPI | 1972812618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM446) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: DE FT-0010103) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2026-06-03 |