| NPI | 1821388216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AK 275) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AK 16) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2017-05-23 |