| NPI | 1851544910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA MF1335) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT0394) |
| Enumeration Date | 2008-11-02 |
| Last Update Date | 2008-11-02 |