| NPI | 1659773604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01236) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2385) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2016-05-11 |