| NPI | 1992085948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0172961) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM 0163151) |
| 106H00000X Marriage & Family Therapist (Licence: KS T-LMFT 1242) | |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2016-08-05 |