| NPI | 1194889790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT1140) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN56361-2) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |