| NPI | 1770633828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2392) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 05-0038) |
| 106H00000X Marriage & Family Therapist (Licence: WA LF00002672) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-03-08 |