| NPI | 1164824728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1769) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 10016A) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2019-06-14 |