| NPI | 1164760674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3023) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MT3023) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2019-02-19 |