| NPI | 1780710350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MPT93) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: RI MFT00087) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |