| NPI | 1982819082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MFT2100) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 204049) |
| 106H00000X Marriage & Family Therapist (Licence: NV 3520R) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2021-10-18 |