| NPI | 1114255510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC 000275) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000733) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2021-12-28 |