| NPI | 1356678809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001434) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI 255) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2019-02-28 |