| NPI | 1205274701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0178971) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM 0163561) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2018-08-27 |