| NPI | 1356434419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: RI MFT00005) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 200680) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |