| NPI | 1013446616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AR M1705015) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001165) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |