| NPI | 1376887430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1580) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 8036A) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2020-08-20 |