| NPI | 1861739476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2795) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT1562) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-06-17 |