| NPI | 1306121918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DE FA-0000006) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2019-02-26 |