| NPI | 1275589467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DE FT-0000013) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 5143) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-01-30 |