| NPI | 1679783872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2008022376) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000592-1) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-12-23 |