| NPI | 1104949494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC SCLISW-CP 1960) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC LPC 116) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |