| NPI | 1376815720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1485) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 7077A) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2013-08-02 |