| NPI | 1689011496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1186) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 8076A) |
| 106H00000X Marriage & Family Therapist (Licence: NC 1624) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2015-09-04 |