| NPI | 1356689053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2012040156) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2440) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |