| NPI | 1679638738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0107651) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AK 203) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2009-08-05 |