| NPI | 1639315468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM433) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1847) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2013-05-07 |