| NPI | 1043458987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 10422) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2180) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2014-01-17 |