| NPI | 1992354146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM845) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LGM740) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2021-11-04 |