| NPI | 1295036929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 2676) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000604) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2013-04-11 |