| NPI | 1417231804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1526) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 7094A) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2021-08-05 |