| NPI | 1851763478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL IMT2400) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3420) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2019-01-31 |