| NPI | 1083884340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 901) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 1625) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |