| NPI | 1730699059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 12055A) |
| Additional Taxonomies | 251S00000X (Licence: NC 12055A) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-11-28 |