| NPI | 1043752512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM442) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: DC LMFT000165) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |