| NPI | 1780990366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL PMT 168) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 7577057-3904) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2016-01-22 |