| NPI | 1720100175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 529136) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 1339) |
| 106H00000X Marriage & Family Therapist (Licence: CO 688) | |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2019-08-29 |