| NPI | 1417132598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL L435) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT000951) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2018-06-15 |