| NPI | 1851703987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3218) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT2071) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2018-06-26 |