| NPI | 1285076612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM646) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001263) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2017-10-16 |