| NPI | 1861525230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001677A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 556) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2016-06-28 |