| NPI | 1811368855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA 1285) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL 416) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |