| NPI | 1770647406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT1174) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1134) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2008-05-28 |