| NPI | 1396945812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT1890) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 1890) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2010-06-28 |