| NPI | 1457538829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1202) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001604A) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |