| NPI | 1770738486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001141) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: RI MFT00122) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2011-05-12 |