| NPI | 1790003945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL A94) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL C1656A) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |