| NPI | 1982276408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA Na) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |