| NPI | 1427585751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3456) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9305106) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2020-01-09 |