| 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 |