| NPI | 1184069312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL 3208) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.000895) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2018-06-25 |