| NPI | 1689090094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL 393) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 393) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-10 |