| NPI | 1053755348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI 511) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2017-10-10 |