| NPI | 1417394016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2691) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1707) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2016-09-13 |