| NPI | 1588890255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202341) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000735-1) |
| 106H00000X Marriage & Family Therapist (Licence: MA 1402) | |
| 106H00000X Marriage & Family Therapist (Licence: NH 142) | |
| 106H00000X Marriage & Family Therapist (Licence: ME MF3815) | |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2016-09-23 |