| NPI | 1013310978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 12020A) |
| Additional Taxonomies | 251S00000X (Licence: NC 12020A) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2018-03-17 |