| NPI | 1750831897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1558) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NH 202) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |