| NPI | 1346439742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4054) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1120) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2008-02-01 |