| NPI | 1295962058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MT0000919) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 919) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-10-01 |