| NPI | 1336321546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2405) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI MFT-348) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2017-02-10 |