| NPI | 1679874044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3277) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006454) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2022-07-21 |