| NPI | 1033509146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 2973) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.000959) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |