| NPI | 1659572154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00167000) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000677) |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101006284) | |
| 106H00000X Marriage & Family Therapist (Licence: WA LF 60042004) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2011-02-25 |