| NPI | 1184633125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL IMT 534) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2217) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-07-08 |