| NPI | 1114208774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2924) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT1611) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2020-08-11 |