| NPI | 1821292673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT1844) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1149) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |