| NPI | 1285668145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SD 1203) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1328) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-08-03 |