| NPI | 1417493982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM735) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LGM552) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2019-09-10 |