| NPI | 1548691439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DE FT-0000053) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: DE FA-0000016) |
| 106H00000X Marriage & Family Therapist (Licence: ND 2016-032A) | |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2019-04-26 |