| NPI | 1134452089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 000886) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 4499) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000218) | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |