| NPI | 1093011041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3880) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT1308) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2020-09-29 |