| NPI | 1497963102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01056) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-10-04 |