| NPI | 1134599517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3392) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT 2311) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2020-01-28 |