| NPI | 1275931537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 3016) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT 1877) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2017-04-27 |