| NPI | 1265446215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 978) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 3945) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-02-25 |