| NPI | 1992100580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1589) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 1026) |
| Enumeration Date | 2014-10-26 |
| Last Update Date | 2022-05-04 |