| NPI | 1376605527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT1655) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 1655) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2022-12-13 |