| NPI | 1457739633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 001413) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2014044604) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2017-05-23 |