| NPI | 1699148098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM574) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LGM448) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2016-11-19 |