| NPI | 1871024380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1807) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2325) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2017-03-26 |