| NPI | 1023242369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID 4299) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 705) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2019-07-28 |