| NPI | 1861430548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NH 126) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2153) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2010-03-08 |