| NPI | 1063621183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MS T0509) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1342) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-05-05 |