| NPI | 1225176753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 2156) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001916) |
| 106H00000X Marriage & Family Therapist (Licence: NC 1068) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 5224) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2022-07-23 |