| NPI | 1649592718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2011005980) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 757) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2011-07-16 |