| NPI | 1396145702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT-2922) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2019-09-27 |