| NPI | 1649345745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM463) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001254) |
| 106H00000X Marriage & Family Therapist (Licence: DC 000148) | |
| 106H00000X Marriage & Family Therapist (Licence: WV 3) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2015-04-23 |