| NPI | 1295971927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4480) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1164) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |