| NPI | 1396084398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC 000172) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2391) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2018-09-12 |