| NPI | 1427568534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1009-A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 10057A) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |