| NPI | 1831582345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001004) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY MFTMFT00213905) |
| Enumeration Date | 2015-03-07 |
| Last Update Date | 2015-03-17 |