| NPI | 1164729471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1510) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 7058A) |
| 225800000X Recreation Therapist (Licence: NC 544) | |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2018-10-26 |