| NPI | 1629401997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01412) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3222) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2018-07-20 |