| NPI | 1992231997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2965) |
| 106H00000X Marriage & Family Therapist (Licence: WA 60765089) | |
| 106H00000X Marriage & Family Therapist (Licence: MO 2020011993) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-05-19 |