| NPI | 1679064232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3482) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 3482) |
| Enumeration Date | 2018-05-19 |
| Last Update Date | 2019-02-06 |