| NPI | 1972874071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1475) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 7063A) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2021-02-05 |