| NPI | 1144664533 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC LMFT000177) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001345) | 
| 106H00000X Marriage & Family Therapist (Licence: MD LCM590) | |
| Enumeration Date | 2013-04-29 | 
| Last Update Date | 2016-09-02 |