| NPI | 1154669919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC LMFT000157) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37fi00167900) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |